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Comparability of Osteoporosis Treatment Groups Among Female Medicare Beneficiaries in the United States
ABSTRACTIt is often difficult to obtain valid estimates of comparative treatment effectiveness and safety owing to differences across patient populations taking different medications in the real world. One approach for assessing comparability between treatment groups in effectiveness studies is to use negative control outcomes (NCOs). NCOs share similar sources of bias with the primary outcomes but have no plausible causal relationship to the treatment of interest. Observing differences in the risk of NCOs thus provides evidence for residual confounding between groups. This retrospective study assessed the comparability of...
Source: Journal of Bone and Mineral Research - May 4, 2023 Category: Orthopaedics Authors: Min Kim, Tzu ‐Chieh Lin, Tarun Arora, Hong Zhao, Akhila Balasubramanian, Robert Kees Stad, James O'Kelly, Leslie Spangler, Brian D. Bradbury, Jeffrey R. Curtis Tags: Research Article Source Type: research

Time Required for Planned and Unplanned Episodes of Care in Aseptic Hip and Knee Revision Arthroplasty
This study quantified planned and unplanned work performed by the surgeon and/or their team during the entire episode of care “reimbursement window” and compared it to allowed reimbursement times by Centers for Medicare and Medicaid Services (CMS). (Source: The Journal of Arthroplasty)
Source: The Journal of Arthroplasty - May 4, 2023 Category: Orthopaedics Authors: Luci Hulsman, Mary Ziemba-Davis, Shelly A. Hicks, R. Michael Meneghini, Leonard T. Buller Source Type: research

Evaluating for Cognitive Assessment and Racial Disparities
More than 50% of nursing home residents experience some degree of cognitive impairment. The Brief Interview for Mental Status (BIMS) has been used as part of the Minimum Data Set 3.0 to screen nursing home residents for cognitive impairment. The Center for Medicare and Medicaid Services (CMS) mandated the BIMS to be used across all post-acute care settings starting in October 2010. Though used as the current standard of care, studies have shown that the BIMS is not sensitive in detecting milder forms of cognitive impairment, whereas the Saint Louis University Mental Status (SLUMS) has been shown to be comparable in reliabi...
Source: Journal of the American Medical Directors Association - April 28, 2023 Category: Health Management Authors: Elizabeth Monis, Thomas Bainter, Gualberto V.I. Morco Tags: Poster Abstract Source Type: research

Prepare Now for End of Public Health Emergency, Telepsychiatry Experts Advise
In a webinar today, APA leaders in telepsychiatry urged psychiatrists to start working with their telepsychiatry patients now to prepare for the end of COVID-19 Public Health Emergency (PHE) on May 11.Shaban Khan, M.D., director of child and adolescent telepsychiatry at NYU Langone and chair of the APA Committee on Telepsychiatry, and John Torous, M.D., director of the Digital Psychiatry Division at Beth Israel Deaconess Medical Center and chair of the APA Committee on Mental Health Information Technology, outlined what psychiatrists need to know about the status of telepsychiatry in terms of prescribing medications, licen...
Source: Psychiatr News - April 26, 2023 Category: Psychiatry Tags: CMS John Torous Medicare PHE public health emergency Shaban Khan telehealth telepsychiatry Source Type: research

Comparability of Osteoporosis Treatment Groups Among Female Medicare Beneficiaries in the United States
This article is protected by copyright. All rights reserved. (Source: Journal of Bone and Mineral Research)
Source: Journal of Bone and Mineral Research - April 24, 2023 Category: Orthopaedics Authors: Min Kim, Tzu ‐Chieh Lin, Tarun Arora, Hong Zhao, Akhila Balasubramanian, Robert Kees Stad, James O'Kelly, Leslie Spangler, Brian D. Bradbury, Jeffrey R. Curtis Tags: Research Article Source Type: research

Reply: Stentless versus stented bioprosthetic root replacement in the medicare population and the wisdom of crowds
In our recent analysis of long-term outcomes of aortic root operations in the United States among Medicare beneficiaries using the Society of Thoracic Surgeons Adult Cardiac Surgery Database (STS-ACSD) and Centers for Medicare and Medicaid Services linked data for patients aged 65 years or older undergoing elective aortic root surgery, we concluded that the bioprosthetic Bentall operation should be the procedure of choice in this population due to improved survival and lower stroke risk compared with the use of the mechanical Bentall, and lower risk of aortic valve reintervention compared with valve-sparing aortic root rep...
Source: The Journal of Thoracic and Cardiovascular Surgery - April 21, 2023 Category: Cardiovascular & Thoracic Surgery Authors: G. Chad Hughes Tags: Letter to the Editor Source Type: research

Reply from the authors: Stentless versus stented bioprosthetic root replacement in the medicare population and the wisdom of crowds
In our recent analysis of long-term outcomes of aortic root operations in the United States among Medicare beneficiaries using the Society of Thoracic Surgeons Adult Cardiac Surgery Database (STS-ACSD) and Centers for Medicare and Medicaid Services linked data for patients aged 65 years or older undergoing elective aortic root surgery, we concluded that the bioprosthetic Bentall operation should be the procedure of choice in this population due to improved survival and lower stroke risk compared with the use of the mechanical Bentall, and lower risk of aortic valve reintervention compared with valve-sparing aortic root rep...
Source: The Journal of Thoracic and Cardiovascular Surgery - April 21, 2023 Category: Cardiovascular & Thoracic Surgery Authors: G. Chad Hughes Tags: Adult: Aorta: Letters to the Editor Source Type: research

669 Examining disparities in melanoma detection: A geospatial analysis of access-to-care
Few studies have assessed the spatial relationship between access-to-care and melanoma incidence on a national level. In this national cross-sectional study, we evaluated the relationship between melanoma incidence and factors influencing access to healthcare. All Medicare-registered United States (US) hospitals were identified using the Centers for Medicare and Medicaid Services ’ hospital database. Geographic locations of US dermatologists were obtained from the American Academy of Dermatology membership database. (Source: Journal of Investigative Dermatology)
Source: Journal of Investigative Dermatology - April 17, 2023 Category: Dermatology Authors: M.M. Tran, T. Vance, S. Yumeen, L. Orsillo, F.N. Mirza, A. Robbins, A. Mehta, O. Wisco Source Type: research

Glucometrics: Where Are We Now?
AbstractPurpose of ReviewInpatient glucose data analysis, or glucometrics, has developed alongside the growing emphasis on glycemic control in the hospital. Shortcomings in the initial capabilities for glucometrics have pushed advancements in defining meaningful units of measurement and methods for capturing glucose data. This review addresses the growth in glucometrics and ends with its promising new state.Recent FindingsStandardization, allowing for benchmarking and purposeful comparison, has been a goal of the field. The National Quality Foundation glycemic measures and recently enacted Center for Medicare and Medicaid ...
Source: Current Diabetes Reports - April 13, 2023 Category: Endocrinology Source Type: research

The optimization of outpatient hemodialysis management for AKI-D patients: A quality improvement study
Introduction: In 2017, the Centers for Medicare and Medicaid Services allowed survivors of hospitalized acute kidney injury requiring dialysis (AKI-D) who were ambulatory and still dependent on hemodialysis (HD) to receive treatment in outpatient dialysis facilities. This policy change generated the ongoing need to improve AKI-D care in the outpatient setting. Methods: Quality improvement study in adult patients admitted to an outpatient HD unit with the diagnosis of AKI-D. We developed a protocol to manage these patients that included: a) multidisciplinary evaluations; b) personalized 3-tier HD prescription for dose/ultr...
Source: American Journal of Nephrology - April 8, 2023 Category: Neurology Source Type: research

Psychiatrists Outline Ethical Considerations Related to Psychedelics
“As psychedelic therapies gain increasing prominence, it is vital that psychiatrists remain mindful of unique ethical and practical challenges surrounding their use in clinical settings,” wrote Gregory Barber, M.D., a psychiatrist in private practice in Bethesda, Md., and Charles Dike, M.D., M.P .H., chair of the APA Ethics Committee, in areview article appearing inPsychiatric Services in Advance. Dike is also an associate professor of psychiatry at Yale University School of Medicine.Contemporary research on psychedelics for the treatment of mental illness is focused primarily on psilocybin, found in a type of mushroom...
Source: Psychiatr News - April 5, 2023 Category: Psychiatry Tags: access Charles Dike equity ethical considerations Gregory Barber informed consent off-label use patient vulnerabilty psychedelics Psychiatric Services Source Type: research

Patient Asks You to Certify Emotional Support Animal: What Should You Do?
Multiple studies show the mental health benefits of pet ownership. What ’s less clear from a small number of studies is the clinical benefits that emotional support animals offer for patients with psychiatric symptoms. Anarticle inPsychiatric Services explores several factors psychiatrists should consider when asked by patients to write certification letters designating their pets as emotional support animals.“ESAs [emotional support animals] are different from service animals and other disability-related assistance animals,” wrote past APA president Reneé Binder, M.D., of the University of California, San Francisco...
Source: Psychiatr News - April 4, 2023 Category: Psychiatry Tags: Americans With Disabilities Act certification emotional support animal ESA federal law Psychiatric Services psychiatrists Renee Binder state law Source Type: research

APA Responds to DEA ’s Proposed Rules Regarding Telehealth, Buprenorphine
Today APA filed two letters with the U.S. Drug Enforcement Administration (DEA) in response to two proposed rules that if finalized would affect how health professionals implement telehealth services and prescribe certain controlled medications. The proposed rules, which were developed with the U.S. Department of Health and Human Services and in close coordination with the U.S. Department of Veterans Affairs andannounced on February 24, would extend certain flexibilities in these areas after the COVID-19 public health emergency expires on May 11. Yet in several ways the proposed rules are more restrictive than what the pub...
Source: Psychiatr News - March 31, 2023 Category: Psychiatry Tags: APA barriers to care buprenorphine controlled substances costs DEA opioid use disorder proposed rule public health emergency telehealth Source Type: research